Biyolojik Ve Kimyasal Terör Tehdidinde Toplum Sağlığı Cevabının Planlanması

Year 2006, Volume: 63 Issue: 1, 107 - 114, 01.04.2006

Metin Demir Mustafa Özer Mehmet Çetin

Abstract

Ulusal ve yerel sağlık otoritelerin çoğu biyolojik ve kimyasal terör saldırısına karşı cevap oluşturabilecek birplandan yoksundur. Ayrıca toplum sağlığı faaliyetleri de, acil yanıt oluşturulmasından sorumlu yetkili kurumlarlaentegre olmamıştır ve bu durum sorunu daha da kötüleştirmektedir. Acil bir durumda en uygun hareket tarzınıbelirlemenin en kötü zamanı acil durum sırasındadır. Bundan dolayı sağlık kurumlarının, ihtiyaç ortaya çıkmadanönce, kendilerine ait sorumluluk ve rollerini tam olarak belirlemeleri ve bir cevap sistemi geliştirmeleri gerekmektedir.Bu cevap sisteminin hazırlık süreci, mevcut sürveyans sisteminin genişletilmesinden, uygulanabilir bir acil durumeylem planı oluşturulması ve geliştirilmesine kadar devam eden bir süreci kapsamaktadır. Açık veya gizli herhangibir terör saldırısında toplumun hastalık ve yaralanmalardan korunması konusunda hizmet verecek toplum sağlığıkurumlarının, bir takım özellikli görevleri vardır. Bu derlemede terör tehdidine cevap verebilecek toplum sağlığısistemin kapasitesinin güçlendirilmesi ve toplumu bir terör saldırısının tehlikelerinden koruyabilecek taslakbir planlama kılavuzu oluşturulması ve bu kılavuzun uygulama basamakları belirtilmeye çalışılmıştır. Bu planlamakılavuzu temel olarak ulusal düzeyde görev yapan halk sağlığı uzmanlarına yönelik hazırlanmışsa da, her seviyedekisağlık personeli için uygun bir kaynak olacağı düşünülmektedir

Keywords

Toplum sağlığı cevabı, terörizm

Planning Of Public Health Response To Biological And Chemİcal Terrorism Threats

Abstract

Most of the national and local health authorities have no plan that could be a respond against biological andchemical terrorist attacks. Moreover, public health activities are not well integrated with relevant state agencies,which are responsible for responding to emergencies of all types, that worsens the situtation. The worst time todetermine the appropriate actions in response to an emergency situation is during the emergency. Thus, it is criticalthat health department officials clarify the preparedness roles and responsibilities of their departments and identifylikely response activities before they are needed. Preparedness process encompasses various activities whichdefine and enhance the response system and expand existing surveillance systems to develop and maintaina viable emergency operation procedure. In the event of a terrorist incident, particularly covert terrorist attacks, thepublic health community will have a special role in preventing diseases and injuries. As with infectious diseases,early detection of a terrorist attack and control of its consequences depend on a strong and flexible publichealth system and on the vigilance of health-care workers throughout the nation who may be the first to observe andreport unusual diseases or injuries. In this study, we describe an draft planning guidance, which outlines stepsfor strengthening the capacity of the public health system to respond and protect the nation against the dangers ofa terrorism incident. Although this planning guidance focuses on the biological and chemical terrorism preparednessefforts of state-level health department personnel, it can be used as a planning tool by anyone in the responsecommunity

Keywords

Public health response, terrorism

References

• 1. CDC, The Public Health Response to Biological and Chemical Terrorism; Interim Planning Guidance for State Public Health Officials, 2001.
• 2. Anonymous, Yolo Operational Area. Standard Multi-Hazard Mitigation Plan, 2004.
• 3. Poulin TE. Building an Effective Response Tips for Integrating Public Health Into Emergency Response. IAEM Bulletin, 2006; 23 (6): 8-10.
• 4. Communication from the Commission to the Council and The European Parliament; On Cooperation in the European Union on Preparedness and Response to Biological and Chemical Agent Attacks (Health Security). Commission to the Council and the European Parliament Report, Luxembourg, December 2001.
• 5. Commission of the European Communities, on Cooperation in the European Union on Preparedness and Response to Biological and Chemical Agent Attacks. Commission to the Council and the European Parliament Report; June, 2003.
• 6. Council of the European Union, Adoption of the Programme to Improve Cooperation in the European Union for Preventing and Limiting the Consequences of Chemical, Biological, Radiological or Nuclear Terrorist Threats. Commission to the Council and the European Parliament Report; November, 2002.
• 7. Public Health Response to Biological and Chemical Weapons-WHO Guidance. Second edition of Health aspects of chemical and biological weapons: report of a WHO Group of Consultants; Geneva, World Health Organization, 2004: 53-98.
• 8. WHO, Strengthening National Health Preparedness and Response for Chemical and Biological Weapons Threats. Meeting Report, Rome, Italy: World Health Organization; March, 2002.
• 9. WHO Guidance, Public Health Response to Biological and Chemical Weapons, 2004.
• 10. Biological and Chemical Terrorism: Strategic Plan for Preparedness and Response Recommendations of the CDC Strategic Planning Workgroup, MMWR, 2000; 49: 1-24.
• 11. Why a Plan? http://www.co.eldorado.ca.us/publichealthpreparedness/Bioterrorism Planning. html, 2006.
• 12. Davis LM, Blanchard JC. Are Local Health Responders Ready for Biological and Chemical Terrorism? Rand Issue Paper, 2002; 221: 1-8.
• 13. Emergency Preparedness, Communities and Local Health, http://www.cadh.org/CADH Resources/Emergency PreparednessPrimer/tabid/62/Default.aspx, 2006.
• 14. Manning FJ, Goldfrank L. Preparing for Terrorism: Tools for Evaluating the Metropolitan Medical Response System Program. First Edition. Washington: The National Academy Pres, 2002: 91-99.
• 15. Managing the Emergency Consequences of Terrorist Incidents. FEMA Interim Planning Guide for State and Local Governments; July, 2002.
• 16. Berkowitz B. Public Health Nursing Practice: Aftermath of September 11, 2001 Online Journal of Issues in Nursing, 2002; 7 (3): 40-51.
• 17. Fraser, MR, Scott FV. Elements of effective bioterrorism preparedness: A planning primer for local public health agencies. NACCHO (National Association of County and City Health Officials) Documents, 2001: 1-27.
• 18. Complete Washington State Implementation Plan, Public Health Emergency Preparedness and Response for Terrorism, CDC and HRSA Applications for Funding, Washington State Department of Health, 2003.
• 19. Fact Sheet, Emergency Management and Public Health, Massachusetts Department of Public Health, 2002.
• 20. The Incident Command System, FEMA, 501-8, NIMS Basic; March, 2006.
• 2 1 . The Incident Command System: Basic Functional Structure, FEMA, 501-8, NIMS Basic, Appendix A; March, 2006.
• 22. CDC, Emergency Preparedness & Response, Surveillance http://www.bt.cdc.gov/episurv, 2006.
• 23. CDC, Emergency Preparedness & Response, Preparation and Planning http://www.bt.cdc.gov/episurv, 2006.
• 24. National Response Plan, FEMA; August, 2004.